O'BRIEN DENTAL PLLC
NPI: 1114428653
· MALTA, NY 12020
· General Practice Dentistry
· NPI assigned 02/21/2018
$390.00
Total Medicaid Paid
Provider Details
| Authorized Official | O'BRIEN, JOHN (OWNER) |
| NPI Enumeration Date | 02/21/2018 |
Related Entities
Other providers sharing the same authorized official: O'BRIEN, JOHN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
13 |
$390.00 |
| 2020 |
13 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
13 |
$390.00 |
| D1999 |
|
13 |
13 |
$0.00 |